Individual
CHRISTINA RODRIGUEZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 NORTHEAST EXPY NE STE 120, BROOKHAVEN, GA 30329-2475
(404) 228-8558
(404) 228-8659
Mailing address
1777 NORTHEAST EXPY NE STE 120, BROOKHAVEN, GA 30329-2475
(404) 228-8558
(404) 228-8659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14087060
ASHA LICENSE
—
Enumeration date
09/04/2019
Last updated
09/04/2019
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